NPI | 1346629185 |
---|---|
Former Name | ALYCIA E MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-09824) |
Additional Taxonomies | 104100000X Social Worker (Licence: NM M-07229) |
Enumeration Date | 2015-05-26 |
Last Update Date | 2025-10-03 |